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						<td style="width: 90%; padding: 5px; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&Eacute;tablissement bancaire :</span><br />
						<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;800af49a&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;&Eacute;tablissement bancaire&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&Eacute;tablissement bancaire :&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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						<td style="width: 90%; padding: 5px; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant des emprunts :&nbsp;</span><span style="font-weight:600;">{% textinput_tag name=&quot;0902xx62&quot; data_label=&quot;Montant des emprunts&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant des emprunts&quot; maxlength=&quot;13&quot; style=&quot;max-width:105px;min-width:105px;width:105px;&quot; fixedwidth=&quot;105&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %} &euro;</span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;&nbsp;<span style="color:#eae3de;"><span style="font-weight:900;">|</span></span> &nbsp;Taux d&rsquo;int&eacute;r&ecirc;t escompt&eacute;&nbsp; :&nbsp;</span><span style="font-weight:600;">{% textinput_tag name=&quot;99x0x9a6&quot; data_label=&quot;Taux d&rsquo;int&eacute;r&ecirc;t escompt&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Taux d&rsquo;int&eacute;r&ecirc;t escompt&eacute;&nbsp;&quot; maxlength=&quot;13&quot; style=&quot;max-width:60px;min-width:60px;width:60px;&quot; fixedwidth=&quot;60&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %} %</span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;&nbsp;<span style="color:#eae3de;"><span style="font-weight:900;">|</span></span> &nbsp;Dur&eacute;e&nbsp; :&nbsp;</span><span style="font-weight:600;">{% textinput_tag name=&quot;99w0w9a6&quot; data_label=&quot;Dur&eacute;e emprunt&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Dur&eacute;e emprunt&quot; maxlength=&quot;15&quot; style=&quot;max-width:80px;min-width:80px;width:80px;&quot; fixedwidth=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</span></td>
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						<td style="width: 90%; padding: 5px; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Nom du pr&ecirc;teur ou de l&rsquo;&eacute;tablissement bancaire pr&ecirc;teur :</span><br />
						<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;01e4bb99&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Nom du pr&ecirc;teur ou de l&rsquo;&eacute;tablissement bancaire pr&ecirc;teur&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nom du pr&ecirc;teur ou de l&rsquo;&eacute;tablissement bancaire pr&ecirc;teur&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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